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1194239152
MAXINE WEBER
FORT CAMPBELL, KY
NPI
1194239152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT007088)
Enumeration Date
2017-11-28
Last Update Date
2023-09-13
Business Address
MAXINE WEBER MS, ATC, CSCS
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 973-459-9937
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Mailing Address
MAXINE WEBER MS, ATC, CSCS
3301 ROYSTER LN APT 901
CLARKSVILLE, TN 37042-7744
Phone number: 973-459-9937
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